LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC – NPI #1194718593
Clinic/Center

NPI Profile
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LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC is an AHC clinic located in MEDIA, PA. NPPES has assigned the NPI number 1194718593 to LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC on August 31, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 12 years ago on Jun 11, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC below.

NPI Profile for
LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC

NPI Number

1194718593

Enumeration Date

Aug 31, 2005
(about 21 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC

Primary location

101 CHESLEY DR
MEDIA, PA 19063-1761

Phone: (484) 621-0082 Fax: (484) 621-0083

Mailing address

Same as primary location

Organization Subpart

Authorized Official

LEONARD DZUBOW
PRESIDENT
Phone: (484) 621-0082

Updated

Jun 11, 2014

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QA1903X - Clinic/Center / Ambulatory Surgical (Primary)	PA	16731501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.